CMS Formulary

Displaying 2281-2290 of 1611142 results.
ID: 2281
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 311727
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2282
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 317128
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2283
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 309337
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2284
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2285
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197980
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2286
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 544455
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2287
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 863599
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2288
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 995241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2289
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 309686
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2290
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 312055
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 900
Qty Limit Days: 30